{"id":25124,"date":"2023-04-19T21:40:36","date_gmt":"2023-04-19T14:40:36","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25124"},"modified":"2023-04-26T17:33:49","modified_gmt":"2023-04-26T10:33:49","slug":"quy-trinh-lay-dau-va-chon-abutment-cho-phuc-hinh-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/quy-trinh-lay-dau-va-chon-abutment-cho-phuc-hinh-implant\/","title":{"rendered":"Quy tr\u00ecnh l\u1ea5y d\u1ea5u v\u00e0 ch\u1ecdn Abutment cho ph\u1ee5c h\u00ecnh Implant."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y kh\u00e1i qu\u00e1t t\u1ed5ng quan v\u1ec1 quy tr\u00ecnh l\u1ea5y d\u1ea5u tr\u01b0\u1edbc khi l\u1ef1a ch\u1ecdn Abutment, c\u00e1c \u0111i\u1ec3m c\u1ea7n l\u01b0u \u00fd khi ti\u1ebfn h\u00e0nh l\u1ef1a ch\u1ecdn lo\u1ea1i Abutment n\u00e0y, \u0111\u1ed3ng th\u1eddi kh\u00e1i qu\u00e1t nh\u1eefng b\u01b0\u1edbc ph\u1ea3i l\u00e0m trong quy tr\u00ecnh. C\u00f9ng t\u00ecm hi\u1ec3u k\u1ef9 h\u01a1n trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n

1. Quy tr\u00ecnh l\u1ea5y d\u1ea5u tr\u01b0\u1edbc khi l\u1ef1a ch\u1ecdn Abutment cho b\u1ec7nh nh\u00e2n<\/h2>\n

Tr\u01b0\u1edbc khi ch\u1ecdn abutment, \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh ch\u00ednh x\u00e1c, ta c\u1ea7n ch\u1ecdn l\u1ef1a gi\u1eefa hai k\u1ef9 thu\u1eadt l\u1ea5y d\u1ea5u sau:<\/p>\n

    \n
  1. L\u1ea5y d\u1ea5u abutment<\/li>\n
  2. L\u1ea5y d\u1ea5u \u0111\u1ea7u implant<\/li>\n<\/ol>\n

    1.1. L\u1ea5y d\u1ea5u abutment<\/h3>\n

    K\u1ef9 thu\u1eadt truy\u1ec1n th\u1ed1ng khi s\u1eed d\u1ee5ng c\u00e1c th\u00e0nh ph\u1ea7n ph\u1ee5c h\u00ecnh ti\u00eau chu\u1ea9n \u0111\u1ec3 ph\u1ee5c h\u1ed3i cho r\u0103ng \u0111\u01a1n l\u1ebb l\u00e0 l\u1ef1a ch\u1ecdn abutment v\u00e0 g\u1eafn v\u00e0o v\u1ecb tr\u00ed. Sau \u0111\u00f3 l\u1ea5y d\u1ea5u abutment v\u00e0 \u0111\u1ed5 m\u1eabu h\u00e0m l\u00e0m vi\u1ec7c b\u1eb1ng c\u00e1c th\u00e0nh ph\u1ea7n c\u00f3 s\u1eb5n \u0111\u00f3.<\/p>\n

    \"quy-trinh-1\"
    \u0110\u1eb7t m\u1ed9t implant Frialit 2 \u0111\u1ec3 ph\u1ee5c h\u1ed3i cho r\u0103ng c\u1eeda gi\u1eefa h\u00e0m tr\u00ean (A) Tr\u1ee5 l\u00e0nh th\u01b0\u01a1ng (B) Coping l\u1ea5y d\u1ea5u (C) Coping \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o implant. Ph\u1ea7n kim lo\u1ea1i s\u1ebd \u0111\u01b0\u1ee3c gi\u1eef l\u1ea1i khi g\u1ee1 d\u1ea5u (D) Ph\u1ea7n nh\u1ef1a xanh \u0111\u01b0\u1ee3c gi\u1eef l\u1ea1i trong d\u1ea5u cao su. Ph\u1ea7n kim lo\u1ea1i s\u1ebd \u0111\u01b0\u1ee3c th\u00e1o ra kh\u1ecfi implant v\u00e0 \u0111\u1eb7t l\u1ea1i ch\u00ednh x\u00e1c v\u00e0o ph\u1ea7n nh\u1ef1a n\u00e0y (E) M\u1eabu h\u00e0m l\u00e0m vi\u1ec7c c\u00f3 abutment t\u1ea1i v\u1ecb tr\u00ed (F) Coping kim lo\u1ea1i \u0111\u1ec3 \u0111\u00fac m\u00e3o s\u1ee9 (G) M\u00e3o s\u1ee9 ho\u00e0n t\u1ea5t \u0111\u1eb7t tr\u00ean m\u1eabu h\u00e0m (H) Ph\u00eda b\u00ean trong, s\u1eed d\u1ee5ng coping l\u00e0m s\u1eb5n gi\u00fap \u0111\u1ea3m b\u1ea3o s\u1ef1 kh\u00edt s\u00e1t tuy\u1ec7t \u0111\u1ed1i (I) G\u1eafn abutment v\u00e0o v\u1ecb tr\u00ed (J) M\u00e3o r\u0103ng ngay sau khi m\u1edbi g\u1eafn. Ph\u1ea7n n\u01b0\u1edbu b\u1ecb \u0111\u00e8 s\u1ebd nhanh ch\u00f3ng tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng.<\/figcaption><\/figure>\n

    Ta c\u00f3 th\u1ec3 \u0111\u1ec3 nguy\u00ean abutment t\u1ea1i v\u1ecb tr\u00ed v\u00e0 che ph\u1ee7 b\u1eb1ng m\u1ed9t cover t\u1ea1m ho\u1eb7c m\u00e3o t\u1ea1m \u0111\u01b0\u1ee3c l\u00e0m theo ph\u01b0\u01a1ng ph\u00e1p l\u00e0m m\u00e3o, c\u1ea7u r\u0103ng t\u1ea1m truy\u1ec1n th\u1ed1ng (v\u1edbi c\u00e1c th\u00e0nh ph\u1ea7n r\u0103ng t\u1ea1m c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t). M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c l\u00e0 sau khi l\u1ea5y d\u1ea5u ta th\u00e1o abutment v\u00e0 gi\u1eef l\u1ea1i \u0111\u1ec3 s\u1eed d\u1ee5ng trong l\u1ea7n h\u1eb9n ti\u1ebfp theo. Sau \u0111\u00f3 \u0111\u1eb7t tr\u1ee5 l\u00e0nh th\u01b0\u01a1ng v\u00e0o v\u1ecb tr\u00ed. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u00edt t\u1ed1n th\u1eddi gian tr\u00ean gh\u1ebf v\u00e0 ph\u1ee5c h\u00ecnh t\u1ea1m ban \u0111\u1ea7u (h\u00e0m gi\u1ea3 ho\u1eb7c c\u1ea7u d\u00e1n) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ec7m l\u1ea1i. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 abutment c\u1ea7n \u0111\u01b0\u1ee3c gi\u1eef trong t\u00fai \u0111\u1ef1ng v\u00f4 tr\u00f9ng v\u00e0 ph\u1ea3i \u0111\u1ea3m b\u1ea3o \u0111\u01b0\u1ee3c g\u1eafn l\u1ea1i v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed \u1edf l\u1ea7n h\u1eb9n ti\u1ebfp theo.<\/p>\n

    1.2. L\u1ea5y d\u1ea5u \u0111\u1ea7u implant<\/h3>\n

    K\u1ef9 thu\u1eadt n\u00e0y l\u00e0 b\u1eaft bu\u1ed9c cho t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i abutment kh\u00e1c ngo\u00e0i abutment ti\u00eau chu\u1ea9n v\u00e0 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o ch\u1ecdn th\u1ef1c hi\u1ec7n. Ta s\u1ebd l\u1ea5y d\u1ea5u \u0111\u1ea7u implant v\u1edbi m\u1ed9t coping l\u1ea5y d\u1ea5u, coping l\u1ea5y d\u1ea5u s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1ed5 m\u1eabu c\u00f9ng analogue c\u1ee7a \u0111\u1ea7u implant \u0111\u1ec3 t\u1ea1o n\u00ean m\u1eabu h\u00e0m l\u00e0m vi\u1ec7c.<\/p>\n

    \"quy-trinh-2\"
    (A) D\u1ea5u cao su Impregum v\u1edbi b\u1ea3n sao implant tr\u00ean labo g\u1eafn tr\u00ean d\u1ea5u (B) Ph\u1ea7n b\u1ea3n sao c\u1ee7a n\u01b0\u1edbu \u0111ang \u0111\u01b0\u1ee3c \u0111\u1ed5 m\u1eabu.<\/figcaption><\/figure>\n

    Sau \u0111\u00f3 ta ch\u1ecdn abutment v\u00e0 g\u1eafn v\u00e0o m\u1eabu h\u00e0m. Vi\u1ec7c ch\u1ecdn abutment ngo\u00e0i mi\u1ec7ng gi\u00fap \u0111\u1ea3m b\u1ea3o s\u1ef1 ch\u00ednh x\u00e1c v\u00e0 d\u1ec5 d\u00e0ng m\u00e0 kh\u00f4ng m\u1ea5t th\u1eddi gian tr\u00ean l\u00e2m s\u00e0ng. B\u1ea5t k\u1ef3 lo\u1ea1i abutment n\u00e0o c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ea5y d\u1ea5u theo c\u00e1ch tr\u00ean. Ta c\u1ea7n c\u1ea9n th\u1eadn tr\u00e1nh l\u00e0m h\u01b0 h\u1ecfng c\u00e1c b\u1ed9 ph\u1eadn c\u1ee7a abutment, ch\u1eb3ng h\u1ea1n nh\u01b0 v\u00edt v\u1eb7n abutment, do \u0111\u00f3 n\u00ean d\u00f9ng v\u00edt labo v\u00e0 gi\u1eef v\u00edt tr\u00ean l\u00e2m s\u00e0ng l\u1ea1i cho \u0111\u1ebfn khi g\u1eafn abutment tr\u00ean mi\u1ec7ng. Abutment n\u00ean \u0111\u01b0\u1ee3c ti\u1ec7t khu\u1ea9n tr\u01b0\u1edbc khi g\u1eafn trong mi\u1ec7ng. M\u1ed9t v\u00e0i b\u00e1c s\u0129 ph\u1ee5c h\u00ecnh \u01b0u ti\u00ean ch\u1ecdn abutment theo ph\u01b0\u01a1ng ph\u00e1p n\u00e0y nh\u01b0ng sau \u0111\u00f3 s\u1ebd g\u1eafn l\u1ea1i trong mi\u1ec7ng v\u00e0 l\u1ea5y d\u1ea5u l\u1ea1i.<\/p>\n

    2. Quy tr\u00ecnh l\u1ef1a ch\u1ecdn Abutment<\/h2>\n

    2.1. \u0110\u1ed9 s\u00e2u m\u00f4 m\u1ec1m<\/h3>\n

    Chi\u1ec1u cao t\u1eeb \u0111\u1ea7u implant \u0111\u1ebfn vi\u1ec1n n\u01b0\u1edbu \u0111\u01b0\u1ee3c \u0111o t\u1ea1i \u0111i\u1ec3m s\u00e2u nh\u1ea5t \u1edf m\u1eb7t ngo\u00e0i. Ta c\u00f3 th\u1ec3 \u0111o tr\u1ef1c ti\u1ebfp trong mi\u1ec7ng b\u1eb1ng c\u00e2y \u0111o t\u00fai nha chu c\u00f3 chia \u0111\u1ed9 ho\u1eb7c c\u00e1c d\u1ee5ng c\u1ee5 kh\u00e1c nhau c\u1ee7a h\u00e3ng s\u1ea3n xu\u1ea5t ph\u00f9 h\u1ee3p v\u1edbi \u0111\u1ea7u implant v\u00e0 c\u00f3 ghi \u0111\u1ed9 s\u00e2u. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o ph\u1ea7n c\u1ed5 l\u00e1ng kim lo\u1ea1i c\u1ee7a abutment kh\u00f4ng b\u1ecb l\u1ed9, ta ch\u1ecdn abutment sao cho \u0111\u01b0\u1eddng vi\u1ec1n m\u1eb7t ngo\u00e0i n\u1eb1m d\u01b0\u1edbi n\u01b0\u1edbu \u00edt nh\u1ea5t 1mm. C\u1ea7n c\u1ea9n th\u1eadn \u0111\u1ea3m b\u1ea3o ch\u1ecdn abutment th\u00edch h\u1ee3p \u1edf m\u1eb7t ngo\u00e0i nh\u01b0ng kh\u00f4ng qu\u00e1 s\u00e2u \u1edf c\u00e1c m\u1eb7t kh\u00e1c. T\u00e1c gi\u1ea3 nh\u1eadn th\u1ea5y \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t s\u00e2u qu\u00e1 3mm s\u1ebd d\u1eabn \u0111\u1ebfn kh\u00f3 g\u1eafn ph\u1ee5c h\u00ecnh v\u00e0 kh\u00f4ng th\u1ec3 l\u1ea5y cement d\u01b0. Trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 s\u1ef1 ch\u00eanh l\u1ec7ch r\u00f5 r\u1ec7t gi\u1eefa chi\u1ec1u cao n\u01b0\u1edbu gi\u1eefa c\u00e1c m\u1eb7t, ch\u1ec9 \u0111\u1ecbnh abutment t\u00f9y ch\u1ec9nh \u0111\u1ec3 cho ph\u00e9p \u0111\u1eb7t \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t theo t\u01b0\u01a1ng quan v\u1edbi \u0111\u01b0\u1eddng vi\u1ec1n n\u01b0\u1edbu. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u1ea3 s\u1eed abutment \u0111\u01b0\u1ee3c ch\u1ecdn c\u00f3 \u0111\u01b0\u1eddng k\u00ednh g\u1ea7n b\u1eb1ng c\u1ed5 r\u0103ng \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i.<\/p>\n

    2.2. D\u1ea1ng tho\u00e1t (emergence profile)<\/h3>\n

    S\u1ebd d\u1ec5 h\u01a1n \u0111\u1ec3 t\u1ea1o \u0111\u01b0\u1ee3c d\u1ea1ng tho\u00e1t (emergence profile) t\u1ed1t n\u1ebfu c\u00f3 \u00edt nh\u1ea5t 3mm chi\u1ec1u cao t\u1eeb \u0111\u1ea7u implant \u0111\u1ebfn vi\u1ec1n n\u01b0\u1edbu. \u0110i\u1ec1u n\u00e0y cho ph\u00e9p c\u00f3 s\u1ef1 chuy\u1ec3n ti\u1ebfp t\u1eeb \u0111\u1ea7u implant, th\u01b0\u1eddng c\u00f3 \u0111\u01b0\u1eddng k\u00ednh nh\u1ecf h\u01a1n vi\u1ec1n c\u1ed5 c\u1ee7a ph\u1ee5c h\u00ecnh mong mu\u1ed1n \u00edt nh\u1ea5t 2-3mm. N\u1ebfu c\u1ea7n thi\u1ebft ph\u1ea3i loe t\u1eeb c\u1ed5 implant \u0111\u1ebfn m\u1ed9t ph\u1ee5c h\u00ecnh c\u00f3 c\u1ed5 r\u1ed9ng khi chi\u1ec1u cao n\u01b0\u1edbu th\u1ea5p, d\u1ec5 nh\u1ea5t l\u00e0 d\u00f9ng abutment t\u00f9y bi\u1ebfn \u0111\u01b0\u1eddng k\u00ednh l\u1edbn. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 t\u1ea1o n\u00ean m\u1ed9t s\u1ef1 thay \u0111\u1ed5i g\u1eaft khi chi\u1ec1u cao n\u01b0\u1edbu th\u1ea5p, c\u1ea7n c\u1ea9n th\u1eadn \u0111\u1ec3 tr\u00e1nh t\u1ea1o d\u1ea1ng ph\u1ee5c h\u00ecnh qu\u00e1 m\u1ee9c \u1edf v\u00f9ng n\u00e0y, d\u1eabn \u0111\u1ebfn kh\u00f3 g\u1eafn v\u00e0 kh\u00f3 v\u1ec7 sinh ph\u1ee5c h\u00ecnh. \u0110\u00f4i khi ta c\u00f3 th\u1ec3 ph\u1ea3i th\u1ef1c hi\u1ec7n ph\u1ee5c h\u00ecnh c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn \u1edf vi\u1ec1n n\u01b0\u1edbu, \u0111\u1eb7c bi\u1ec7t khi c\u00e1c gai n\u01b0\u1edbu b\u1ecb ti\u00eau \u0111\u1ec3 l\u1ea1i c\u00e1c v\u00f9ng t\u1ed1i, c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m th\u1ea9m m\u1ef9 c\u1ee7a k\u1ebft qu\u1ea3 sau c\u00f9ng.<\/p>\n

    2.3. Chi\u1ec1u h\u01b0\u1edbng c\u1ee7a implant<\/h3>\n

    M\u1ed9t c\u00e1ch l\u00fd t\u01b0\u1edfng th\u00ec implant s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t g\u1ea7n v\u1edbi tr\u1ee5c c\u1ee7a r\u0103ng m\u1ea5t v\u00e0 c\u00e1c r\u0103ng b\u00ean c\u1ea1nh. \u0110\u1eb7t implant c\u00f3 tr\u1ee5c d\u1ecdc \u0111i qua \u0111\u1ec9nh r\u00eca c\u1eafn v\u00e0 ngay m\u1eb7t trong l\u00e0 d\u1ec5 ph\u1ee5c h\u1ed3i nh\u1ea5t v\u00e0 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng b\u1ea5t k\u1ef3 lo\u1ea1i abutment n\u00e0o. Tuy nhi\u00ean, th\u00f4ng th\u01b0\u1eddng c\u00e1c implant s\u1ebd h\u01a1i nghi\u00eang nh\u1eb9 ho\u1eb7c nghi\u00eang nhi\u1ec1u ra m\u1eb7t ngo\u00e0i. C\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn \u0111i\u1ec1u n\u00e0y, bao g\u1ed3m:<\/p>\n

      \n
    • Sau khi m\u1ea5t r\u0103ng, x\u01b0\u01a1ng \u1ed5 r\u0103ng ti\u00eau, \u0111\u01b0\u1eddng vi\u1ec1n x\u01b0\u01a1ng c\u1ee7a \u1ed5 r\u0103ng c\u00f2n l\u1ea1i b\u1eaft bu\u1ed9c ph\u1ea3i \u0111\u1eb7t implant theo h\u01b0\u1edbng nghi\u00eang ngo\u00e0i h\u01a1n.<\/li>\n
    • Do h\u00ecnh d\u1ea1ng cong t\u1ef1 nhi\u00ean c\u1ee7a r\u0103ng ban \u0111\u1ea7u v\u00e0 c\u00e1c r\u0103ng b\u00ean c\u1ea1nh, ch\u00e2n r\u0103ng c\u00f3 th\u1ec3 c\u00f3 h\u01b0\u1edbng kh\u00e1c so v\u1edbi th\u00e2n r\u0103ng tr\u00ean l\u00e2m s\u00e0ng.<\/li>\n<\/ul>\n

      Do \u0111\u00f3 vi\u1ec7c \u0111\u1eb7t implant nghi\u00eang ngo\u00e0i nh\u1eb9 v\u00e0i \u0111\u1ed9 c\u00f3 th\u1ec3 l\u00e0 do ch\u1ee7 \u0111\u00edch v\u00e0 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh b\u1eb1ng abutment ti\u00eau chu\u1ea9n. Trong tr\u01b0\u1eddng h\u1ee3p implant l\u1ec7ch ngo\u00e0i nhi\u1ec1u h\u01a1n, n\u1ebfu s\u1eed d\u1ee5ng abutment ti\u00eau chu\u1ea9n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1eb7t ngo\u00e0i c\u1ee7a m\u00e3o r\u0103ng qu\u00e1 l\u1ed3i ho\u1eb7c qu\u00e1 m\u1ecfng kh\u00f4ng th\u1ec3 che \u0111\u01b0\u1ee3c ph\u1ea7n kim lo\u1ea1i b\u00ean d\u01b0\u1edbi.<\/p>\n

      \"quy-trinh-3\"
      Ch\u1ecdn abutment ti\u00eau chu\u1ea9n ng\u1eafn h\u01a1n nh\u01b0 h\u00ecnh (A) v\u00e0 (B) cho ph\u00e9p nhi\u1ec1u kho\u1ea3ng tr\u1ed1ng theo chi\u1ec1u d\u1ecdc gi\u00fap \u0111i\u1ec1u ch\u1ec9nh s\u1ef1 nghi\u00eang ngo\u00e0i c\u1ee7a implant t\u1ed1t h\u01a1n so v\u1edbi l\u1ef1a ch\u1ecdn th\u00f4ng th\u01b0\u1eddng (C) khi \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t \u0111\u1eb7t ngay d\u01b0\u1edbi n\u01b0\u1edbu.<\/figcaption><\/figure>\n

      S\u1eed d\u1ee5ng abutment t\u00f9y bi\u1ebfn c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 t\u1ed1t h\u01a1n, v\u00ec h\u01b0\u1edbng l\u1eafp c\u1ee7a m\u00e3o c\u00f3 th\u1ec3 kh\u00e1c v\u1edbi tr\u1ee5c c\u1ee7a implant. C\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u1edbi 35\u00b0, c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m gi\u1edbi h\u1ea1n th\u01b0\u1eddng l\u00e0 \u0111\u00f2i h\u1ecfi v\u1ec1 duy tr\u00ec c\u00e1c th\u00e0nh ph\u1ea7n quanh l\u1ed7 v\u00edt abutment v\u00e0 \u0111\u1ee7 \u0111\u1ed9 l\u01b0u gi\u1eef c\u1ea7n thi\u1ebft cho m\u00e3o r\u0103ng.<\/p>\n

      \u0110\u1ec3 gi\u00fap ch\u1ecdn ch\u00ednh x\u00e1c abutment, t\u1ed1t nh\u1ea5t l\u00e0 ta x\u00e1c \u0111\u1ecbnh \u0111\u00fang \u0111\u01b0\u1eddng vi\u1ec1n m\u1eb7t ngo\u00e0i b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u00e3o t\u1ea1m ho\u1eb7c t\u1eeb m\u1eabu s\u00e1p ch\u1ea9n \u0111o\u00e1n. M\u1eb7t \u0111\u1ecbnh v\u1ecb ph\u00eda ngo\u00e0i b\u1eb1ng silicon n\u1eb7ng s\u1ebd \u0111\u01b0\u1ee3c t\u1ea1o t\u1eeb m\u00e3o t\u1ea1m ho\u1eb7c m\u1eabu s\u00e1p ch\u1ea9n \u0111o\u00e1n, sau \u0111\u00f3 \u0111\u1eb7t l\u1ea1i trong mi\u1ec7ng ho\u1eb7c l\u00fd t\u01b0\u1edfng nh\u1ea5t l\u00e0 tr\u00ean m\u1eabu h\u00e0m l\u00e0m vi\u1ec7c. G\u00f3c \u0111\u1ed9 th\u1eadt s\u1ef1 c\u1ee7a implant theo t\u01b0\u01a1ng quan v\u1edbi m\u1eb7t ngo\u00e0i l\u00fac n\u00e0y s\u1ebd r\u00f5 r\u00e0ng v\u00e0 ta c\u00f3 th\u1ec3 ch\u1ecdn abutment ch\u00ednh x\u00e1c.<\/p>\n

      2.4. Kho\u1ea3ng tr\u1ed1ng li\u00ean h\u00e0m<\/h3>\n

      Ta c\u1ea7n \u0111\u00e1nh gi\u00e1 kho\u1ea3ng c\u00e1ch t\u1eeb \u0111\u1ea7u implant \u0111\u1ebfn r\u0103ng \u0111\u1ed1i di\u1ec7n. Abutment ti\u00eau chu\u1ea9n ng\u1eafn nh\u1ea5t \u0111\u00f2i h\u1ecfi chi\u1ec1u cao t\u1ed1i thi\u1ec3u t\u1eeb 6 \u0111\u1ebfn 7mm. N\u1ebfu kho\u1ea3ng tr\u1ed1ng \u00edt h\u01a1n, c\u00f3 th\u1ec3 ph\u1ea3i ch\u1ec9 \u0111\u1ecbnh abutment t\u00f9y bi\u1ebfn ho\u00e0n to\u00e0n, m\u1eb7c d\u00f9 chi\u1ec1u cao d\u01b0\u1edbi 5mm r\u1ea5t kh\u00f3 \u0111\u1ec3 ph\u1ee5c h\u1ed3i, ta n\u00ean c\u00e2n nh\u1eafc m\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt truy\u1ec1n th\u1ed1ng nh\u01b0 t\u0103ng k\u00edch th\u01b0\u1edbc d\u1ecdc ho\u1eb7c d\u00f9ng kh\u00ed c\u1ee5 \u201cDahl\u201d, c\u0169ng c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n m\u00e3o r\u0103ng b\u1eaft v\u00edt. M\u1ed9t l\u1ea7n n\u1eefa, vi\u1ec7c l\u1eadp k\u1ebf ho\u1ea1ch v\u00e0 \u0111\u1eb7t implant s\u00e2u h\u01a1n c\u00f3 th\u1ec3 gi\u00fap tr\u00e1nh \u0111\u01b0\u1ee3c v\u1ea5n \u0111\u1ec1 n\u00e0y. K\u00edch th\u01b0\u1edbc d\u1ecdc qu\u00e1 m\u1ee9c c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i v\u1edbi b\u1ea5t k\u1ef3 lo\u1ea1i abutment n\u00e0o, tuy nhi\u00ean v\u1edbi abutment t\u00f9y bi\u1ebfn ho\u00e0n to\u00e0n, ta c\u00f3 th\u1ec3 t\u1ed1i \u01b0u chi\u1ec1u cao c\u1ee7a ph\u1ea7n l\u01b0u gi\u1eef, nh\u1edd \u0111\u00f3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t. M\u00e3o r\u0103ng tr\u00ean implant c\u1ea7n th\u1ef1c hi\u1ec7n sao cho ph\u1ea7n s\u1ee9 \u0111\u01b0\u1ee3c n\u00e2ng \u0111\u1ee1 t\u1ed1t b\u1edfi khung kim lo\u1ea1i b\u00ean d\u01b0\u1edbi.<\/p>\n

      2.5. Kh\u1ea3 n\u0103ng th\u00e1o g\u1ee1<\/h3>\n

      Ph\u1ee5c h\u00ecnh b\u1eaft v\u00edt s\u1ebd d\u1ec5 th\u00e1o ra h\u01a1n \u1edf nh\u1eefng giai \u0111o\u1ea1n sau \u0111\u00f3 n\u1ebfu d\u1ef1 ki\u1ebfn c\u00f3 th\u1ec3 s\u1ebd c\u1ea7n ph\u1ea3i th\u00e1o. M\u00e3o r\u0103ng g\u1eafn b\u1eb1ng cement c\u00f3 th\u1ec3 r\u1ea5t kh\u00f3 th\u00e1o, th\u1eadm ch\u00ed khi ch\u1ec9 g\u1eafn b\u1eb1ng cement t\u1ea1m tr\u00ean abutment ti\u00eau chu\u1ea9n. Nh\u00ecn chung, ch\u1ec9 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n ph\u1ee5c h\u00ecnh b\u1eaft v\u00edt n\u1ebfu h\u01b0\u1edbng l\u1eafp c\u1ee7a v\u00edt l\u1ec7ch trong ho\u1eb7c n\u1eb1m \u1edf m\u1eb7t nhai. C\u00f3 lo\u1ea1i abutment chuy\u00ean d\u1ee5ng cho m\u00e3o r\u0103ng \u0111\u01a1n l\u1ebb ho\u1eb7c v\u1edbi abutment ti\u00eau chu\u1ea9n, ta c\u00f3 th\u1ec3 g\u1eafn m\u00e3o b\u1eb1ng cement b\u00ean ngo\u00e0i mi\u1ec7ng sau \u0111\u00f3 t\u1ea1o m\u1ed9t l\u1ed7 m\u1edf l\u1edbn xuy\u00ean qua m\u00e3o \u0111\u1ec3 g\u1eafn ph\u1ee5c h\u00ecnh l\u00ean implant b\u1eb1ng v\u00edt v\u1eb7n abutment. L\u01b0u gi\u1eef b\u1eb1ng v\u00edt r\u1ea5t c\u00f3 l\u1ee3i trong tr\u01b0\u1eddng h\u1ee3p kho\u1ea3ng c\u00e1ch v\u1edbi c\u00e1c r\u0103ng k\u1ebf c\u1eadn b\u1ecb gi\u1edbi h\u1ea1n. Qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n m\u00e3o r\u0103ng g\u1eafn b\u1eb1ng cement c\u00f3 th\u1ec3 b\u1ecb h\u1ea1n ch\u1ebf v\u00e0 kho\u1ea3ng tr\u1ed1ng c\u1ea7n thi\u1ebft cho abutment, cement g\u1eafn v\u00e0 m\u00e3o r\u0103ng s\u1ebd nhi\u1ec1u h\u01a1n so v\u1edbi m\u00e3o r\u0103ng b\u1eaft v\u00edt ch\u1ec9 c\u00f3 m\u1ed9t kh\u1ed1i.<\/p>\n

       <\/p>\n

      \"quy-trinh-5\"
      Ph\u1ee5c h\u1ed3i v\u1edbi implant Astra Tech ST n\u1eb1m s\u00e1t r\u0103ng b\u00ean c\u1ea1nh do c\u00f3 k\u00eanh r\u0103ng c\u1eeda l\u1edbn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c \u0111\u1eb7t implant (A)Tr\u00ean m\u1eabu h\u00e0m l\u00e0m vi\u1ec7c, c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y s\u1ef1 thi\u1ebfu kho\u1ea3ng gi\u1eefa implant v\u00e0 r\u0103ng b\u00ean c\u1ea1nh. S\u1eed d\u1ee5ng abutment v\u00e0 m\u00e3o r\u0103ng t\u00e1ch r\u1eddi l\u00e0 r\u1ea5t kh\u00f3 (B) S\u1eed d\u1ee5ng abutment \u0111\u00fac \u0111\u1ec3 th\u1ef1c hi\u1ec7n m\u00e3o r\u0103ng v\u00e0 abutment m\u1ed9t kh\u1ed1i. Abutment l\u00e0 lo\u1ea1i t\u00f9y bi\u1ebfn ho\u00e0n to\u00e0n v\u1edbi abutment t\u1ea1o d\u1ea1ng b\u1eb1ng s\u00e1p v\u00e0 k\u1ef9 thu\u1eadt \u0111\u00fac truy\u1ec1n th\u1ed1ng (C) Ph\u1ee5c h\u00ecnh sau c\u00f9ng kh\u00f4ng l\u01b0u gi\u1eef b\u1eb1ng cement m\u00e0 b\u1eb1ng v\u00edt (D) Khi g\u1eafn l\u1ea7n \u0111\u1ea7u, m\u00e3o r\u0103ng h\u01a1i \u0111\u00e8 n\u01b0\u1edbu (E) 4 tu\u1ea7n sau, ph\u1ee5c h\u00ecnh \u0111\u01b0\u1ee3c th\u00e1o cho th\u1ea5y \u0111\u01b0\u1eddng vi\u1ec1n n\u01b0\u1edbu l\u00e0nh m\u1ea1nh (F) M\u00e3o r\u0103ng sau c\u00f9ng khi nh\u00ecn tr\u00ean mi\u1ec7ng.<\/figcaption><\/figure>\n

      2.6. Quy tr\u00ecnh \u0111\u00f2i h\u1ecfi \u0111\u1eb7c bi\u1ec7t v\u1ec1 th\u1ea9m m\u1ef9<\/h3>\n

      M\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u01b0a ra, m\u1ee5c \u0111\u00edch \u0111\u1ec3 th\u1ef1c hi\u1ec7n ph\u1ee5c h\u00ecnh th\u1ea9m m\u1ef9 kh\u00f4ng b\u1ecb l\u1ed9 kim lo\u1ea1i. V\u1ea5n \u0111\u1ec1 c\u00f3 th\u1ec3 n\u1ea3y sinh khi \u0111\u1ea7u implant n\u1eb1m s\u00e1t b\u1ec1 m\u1eb7t ho\u1eb7c m\u00f4 n\u01b0\u1edbu m\u1eb7t ngo\u00e0i qu\u00e1 m\u1ecfng d\u1eabn \u0111\u1ebfn vi\u1ec7c abutment kim lo\u1ea1i b\u1ecb l\u1ed9 t\u1ea1o ph\u1ea7n n\u01b0\u1edbu m\u00e0u x\u00e1m, g\u00e2y k\u00e9m th\u1ea9m m\u1ef9. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh b\u1eb1ng c\u00e1ch g\u1eafn coping l\u1ea5y d\u1ea5u v\u00e0 quan s\u00e1t s\u1ef1 \u0111\u1ed5i m\u00e0u \u1edf m\u00f4 n\u01b0\u1edbu. Abutment s\u1ee9 s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y.<\/p>\n

      2.7. Quy tr\u00ecnh ph\u1ee5c h\u00ecnh sau c\u00f9ng<\/h3>\n

      Tr\u01b0\u1edbc khi ch\u1ecdn abutment cho implant \u0111\u01a1n l\u1ebb, ta c\u1ea7n ph\u1ea3i c\u00e2n nh\u1eafc v\u1ec1 lo\u1ea1i ph\u1ee5c h\u00ecnh sau c\u00f9ng b\u1edfi v\u00ec n\u00f3 s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c ch\u1ecdn abutment. N\u1ebfu s\u1eed d\u1ee5ng abutment kim lo\u1ea1i s\u1ebd kh\u00f4ng c\u00f3 l\u00fd do \u0111\u1ec3 tr\u00e1nh ch\u1ecdn ph\u1ee5c h\u00ecnh s\u1ee9-kim lo\u1ea1i. Ph\u1ee5c h\u00ecnh to\u00e0n s\u1ee9 g\u1eafn b\u1eb1ng cement tr\u00ean m\u1ed9t abutment kim lo\u1ea1i s\u1ebd c\u1ea7n ph\u1ea3i r\u1ea5t d\u00e0y \u0111\u1ec3 tr\u00e1nh b\u1ecb \u00e1nh kim lo\u1ea1i d\u1eabn \u0111\u1ebfn x\u00e1m m\u00e0u ph\u1ee5c h\u00ecnh. V\u1ea5n \u0111\u1ec1 c\u0169ng c\u00f3 th\u1ec3 n\u1ea3y sinh khi ph\u1ee5c h\u00ecnh \u0111\u01a1n l\u1ebb tr\u00ean implant c\u1ea7n \u0111\u1ed3ng b\u1ed9 m\u00e0u v\u1edbi c\u00e1c r\u0103ng b\u00ean c\u1ea1nh \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i b\u1eb1ng m\u00e3o v\u00e0 veneer s\u1ee9 tr\u01b0\u1edbc \u0111\u00f3. Th\u01b0\u1eddng th\u00ec t\u1ed1t nh\u1ea5t l\u00e0 n\u00ean l\u00e0m l\u1ea1i c\u00e1c ph\u1ee5c h\u00ecnh b\u00ean c\u1ea1nh lu\u00f4n \u0111\u1ec3 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n ch\u00fang c\u00f9ng l\u00fac v\u1edbi c\u00f9ng m\u1ed9t lo\u1ea1i v\u1eadt li\u1ec7u. Abutment v\u00e0 m\u00e3o r\u0103ng to\u00e0n s\u1ee9 s\u1ebd thu\u1eadn l\u1ee3i nh\u1ea5t cho k\u1ef9 thu\u1eadt vi\u00ean c\u00f3 th\u1ec3 \u0111\u1ed3ng b\u1ed9 m\u00e0u trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y.<\/p>\n

      3. B\u1ed9 kit ch\u1ecdn abutment<\/h2>\n

      Nhi\u1ec1u h\u00e3ng s\u1ea3n xu\u1ea5t cung c\u1ea5p b\u1ed9 kit ch\u1ecdn abutment c\u00f3 b\u1ea3n sao ch\u00ednh x\u00e1c c\u1ee7a c\u00e1c lo\u1ea1i abutment kh\u00e1c nhau hi\u1ec7n c\u00f3. Ch\u00fang th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u00ean m\u1eabu h\u00e0m l\u00e0m vi\u1ec7c, tuy nhi\u00ean c\u0169ng c\u00f3 th\u1ec3 d\u00f9ng trong mi\u1ec7ng. V\u00ec r\u1ea5t kh\u00f3 \u0111\u1ec3 h\u00ecnh dung abutment s\u1ebd \u0111\u1eb7t v\u00e0o v\u1ecb tr\u00ed v\u00e0 vi\u1ec7c ch\u1ecdn l\u1ef1a abutment sai c\u00f3 th\u1ec3 s\u1ebd g\u00e2y t\u1ed1n k\u00e9m n\u00ean b\u1ed9 kit ch\u1ecdn abutment r\u1ea5t \u0111\u01b0\u1ee3c khuy\u00ean d\u00f9ng. Ch\u1ecdn \u0111\u01b0\u1ee3c abutment v\u00e0 quy\u1ebft \u0111\u1ecbnh lo\u1ea1i ph\u1ee5c h\u00ecnh sau c\u00f9ng, ta c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u ph\u00e1c h\u1ecda k\u1ef9 thu\u1eadt tr\u00ean l\u00e2m s\u00e0ng.<\/p>\n

      4. Quy tr\u00ecnh g\u1eafn abutment<\/h2>\n

      Vi\u1ec7c \u0111\u1eb7t abutment ho\u00e0n to\u00e0n l\u00e0 x\u00fac gi\u00e1c do s\u1ebd qua m\u1ed9t \u201c\u0111\u01b0\u1eddng h\u1ea7m\u201d m\u00f4 m\u1ec1m r\u1ea5t s\u00e2u. V\u1edbi b\u1ec7nh nh\u00e2n \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 s\u1ebd r\u1ea5t kh\u00f3 ch\u1ecbu, \u0111\u1eb7c bi\u1ec7t khi m\u00f4 m\u1ec1m v\u1eabn c\u00f2n \u1edf tr\u1ea1ng th\u00e1i nh\u1ea1y c\u1ea3m. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c th\u00e1o tr\u1ee5 l\u00e0nh th\u01b0\u01a1ng ra ngo\u00e0i trong b\u1ea5t k\u1ef3 kho\u1ea3ng th\u1eddi gian n\u00e0o v\u00ec m\u00f4 m\u1ec1m s\u1ebd nhanh ch\u00f3ng co l\u1ea1i v\u00e0o kho\u1ea3ng tr\u1ed1ng v\u00e0 g\u00e2y \u0111au khi g\u1eafn abutment tr\u1edf l\u1ea1i. Do \u0111\u00f3 c\u00f3 th\u1ec3 s\u1ebd ph\u1ea3i g\u00e2y t\u00ea t\u1ea1i ch\u1ed7. M\u00f4 m\u1ec1m s\u1ebd b\u1ecb \u0111\u00e8 tr\u1eafng tuy nhi\u00ean b\u1ec7nh nh\u00e2n ph\u1ea3i c\u1ea3m th\u1ea5y v\u00f9ng \u0111\u00f3 tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng sau v\u00e0i ph\u00fat.<\/p>\n

      N\u1ebfu abutment \u0111\u01b0\u1ee3c g\u1eafn trong mi\u1ec7ng v\u00e0 gi\u1eef nguy\u00ean t\u1ea1i v\u1ecb tr\u00ed \u0111\u00f3 th\u00ec c\u1ea7n ph\u1ea3i v\u1eb7n ch\u1eb7t v\u00edt g\u1eafn abutment theo khuy\u1ebfn c\u00e1o c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t. C\u00f3 th\u1ec3 d\u00f9ng c\u00e2y v\u1eb7n c\u00f3 \u0111o l\u1ef1c b\u1eb1ng tay ho\u1eb7c \u0111i\u1ec7n t\u1eed. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 abutment \u0111\u01b0\u1ee3c g\u1eafn ho\u00e0n to\u00e0n v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed tr\u01b0\u1edbc khi xi\u1ebft ch\u1eb7t b\u1edfi v\u00ec c\u00e1c b\u1ec1 m\u1eb7t k\u1ebft n\u1ed1i c\u00f3 th\u1ec3 b\u1ecb h\u01b0 h\u1ecfng v\u00e0 kh\u00f3 th\u00e1o ra n\u1ebfu nh\u01b0 kh\u00f4ng g\u1eafn \u0111\u00fang, ho\u1eb7c c\u0169ng c\u00f3 th\u1ec3 g\u00e3y v\u00edt v\u1eb7n.<\/p>\n

      Ng\u01b0\u1eddi ta \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng khi th\u00e1o abutment v\u00e0 \u0111\u1eb7t l\u1ea1i c\u00f9ng v\u1ecb tr\u00ed sau khi l\u1ea5y d\u1ea5u.<\/p>\n

      5. Quy tr\u00ecnh l\u1ea5y d\u1ea5u<\/h2>\n

      V\u1edbi abutment ti\u00eau chu\u1ea9n, \u0111\u1eb7t coping l\u1ea5y d\u1ea5u b\u1eb1ng nh\u1ef1a l\u00ean tr\u00ean abutment.<\/p>\n

      \"\"
      Ph\u1ee5c h\u00ecnh tr\u00ean 4 implant Nobel Biocare (A) G\u1eafn coping l\u1ea5y d\u1ea5u ti\u00eau chu\u1ea9n v\u00e0o v\u1ecb tr\u00ed (B) \u0110i\u1ec1u ch\u1ec9nh khay l\u1ea5y d\u1ea5u l\u00e0m s\u1eb5n \u0111\u1ec3 t\u1ea1o ch\u1ed7 tho\u00e1t cho coping (C) L\u1ea5y d\u1ea5u b\u1eb1ng cao su Impregum \u2013 \u0111\u1ec3 \u00fd d\u1ea5u l\u00f5m ng\u00f3n tay tr\u00ean c\u00e1c coping do b\u00e1c s\u0129 \u1ea5n gi\u1eef c\u00e1c coping \u0111\u1ec3 ch\u00fang kh\u00f4ng d\u1ecbch chuy\u1ec3n khi ch\u1ea5t l\u1ea5y d\u1ea5u \u0111\u00f4ng c\u1ee9ng.<\/figcaption><\/figure>\n

      Th\u01b0\u1eddng th\u00ec ch\u00fang s\u1ebd kh\u00edt ch\u1eb7t, tuy nhi\u00ean c\u0169ng c\u00f3 th\u1ec3 b\u1ecb k\u00e9o ra kh\u1ecfi abutment n\u1ebfu v\u01b0\u1ee3t qu\u00e1 \u00e1p l\u1ef1c g\u1eafn. R\u00f5 r\u00e0ng l\u00e0 coping kh\u00f4ng \u1ed5n \u0111\u1ecbnh, ta n\u00ean \u0111\u1ec3 nguy\u00ean kh\u00f4ng c\u1eaft ng\u1eafn coping v\u00e0 kho\u00e9t c\u00e1c l\u1ed7 tr\u00ean khay l\u1ea5y d\u1ea5u \u0111\u1ec3 c\u00f3 th\u1ec3 d\u00f9ng l\u1ef1c ng\u00f3n tay gi\u1eef ch\u1eb7t coping khi ch\u1ea5t l\u1ea5y d\u1ea5u \u0111ang \u0111\u00f4ng c\u1ee9ng. Coping l\u1ea5y d\u1ea5u lo\u1ea1i t\u1ef1 l\u01b0u gi\u1eef s\u1ebd \u0111\u01b0\u1ee3c c\u1eaft ng\u1eafn sao cho kh\u00f4ng b\u1ecb ch\u1ea1m v\u00e0o khay l\u1ea5y d\u1ea5u. Ta c\u00f3 th\u1ec3 d\u00f9ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p l\u1ea5y d\u1ea5u nh\u01b0 v\u1edbi c\u1ea7u r\u0103ng, m\u00e3o r\u0103ng truy\u1ec1n th\u1ed1ng. Khay l\u1ea5y d\u1ea5u l\u00e0m s\u1eb5n \u0111\u1ee7 c\u1ee9ng \u0111\u1ec3 n\u00e2ng \u0111\u1ee1 ch\u1ea5t l\u1ea5y d\u1ea5u lo\u1ea1i v\u1eeba v\u00e0 lo\u1ea1i n\u1eb7ng. V\u1eadt li\u1ec7u l\u1ea5y d\u1ea5u c\u1ea7n \u0111\u1ee7 c\u1ee9ng ch\u1eafc \u0111\u1ec3 c\u00f3 th\u1ec3 gi\u1eef coping m\u00e0 kh\u00f4ng b\u1ecb r\u00e1ch d\u1ea5u. Do \u0111\u00f3 ch\u1ea5t l\u1ea5y d\u1ea5u lo\u1ea1i nh\u1eb9 th\u01b0\u1eddng kh\u00f4ng ph\u00f9 h\u1ee3p. Ch\u1ea5t l\u1ea5y d\u1ea5u lo\u1ea1i n\u1eb7ng c\u0169ng kh\u00f4ng ph\u00f9 h\u1ee3p v\u00ec s\u1ebd kh\u00f4ng tr\u00e0n ra quanh coping. Do \u0111\u00f3 ng\u01b0\u1eddi ta th\u01b0\u1eddng khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u l\u1ea5y d\u1ea5u \u0111\u01a1n pha nh\u01b0 polyesther v\u00e0 silicon \u0111\u00f4ng c\u1ee9ng t\u0103ng c\u01b0\u1eddng (d\u1ea1ng n\u1eb7ng ho\u1eb7c trung b\u00ecnh).<\/p>\n

      B\u01a1m ch\u1ea5t l\u1ea5y d\u1ea5u quanh coping r\u1ed3i \u0111\u01b0a khay l\u1ea5y d\u1ea5u v\u00e0o v\u1ecb tr\u00ed trong mi\u1ec7ng. Ng\u01b0\u1eddi ta khuy\u1ebfn c\u00e1o n\u00ean l\u1ea5y d\u1ea5u nguy\u00ean h\u00e0m. Sau khi \u0111\u00f4ng c\u1ee9ng, d\u1ea5u ph\u1ea3i gi\u1eef \u0111\u01b0\u1ee3c coping v\u00e0 ta n\u00ean ki\u1ec3m tra l\u1ea1i \u0111\u1ed9 \u0111\u00e0n h\u1ed3i b\u1eb1ng k\u1eb9p g\u1eafp. N\u1ebfu nghi ng\u1edd coping \u0111\u00e3 d\u1ecbch chuy\u1ec3n khi l\u1ea5y d\u1ea5u, c\u1ea7n ph\u1ea3i l\u1ea5y d\u1ea5u l\u1ea1i. D\u1ea5u ph\u1ea3i ghi l\u1ea1i \u0111\u01b0\u1ee3c c\u00e1c r\u0103ng b\u00ean c\u1ea1nh v\u00e0 \u0111\u01b0\u1eddng vi\u1ec1n n\u01b0\u1edbu c\u1ee7a ch\u00fang c\u0169ng nh\u01b0 di\u1ec7n kh\u1edbp c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c r\u0103ng tr\u00ean cung h\u00e0m. Sau \u0111\u00f3 g\u1eafn analog v\u00e0o coping \u0111\u1ec3 s\u1eb5n s\u00e0ng cho labo \u0111\u1ed5 m\u1eabu l\u00e0m vi\u1ec7c.<\/p>\n

      Ng\u01b0\u1eddi ta c\u0169ng \u0111\u00f2i h\u1ecfi d\u1ea5u h\u00e0m \u0111\u1ed1i v\u00e0 d\u1ea5u kh\u1edbp c\u1eafn c\u0169ng ph\u1ea3i \u0111\u1ea1t ch\u1ea5t l\u01b0\u1ee3ng t\u1ed1t. V\u1edbi ph\u1ee5c h\u00ecnh r\u0103ng \u0111\u01a1n l\u1ebb, th\u01b0\u1eddng m\u1eabu h\u00e0m kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i c\u1eafn kh\u1edbp to\u00e0n b\u1ed9, tuy nhi\u00ean c\u0169ng c\u1ea7n ph\u1ea3i th\u1ecfa m\u00e3n nh\u1eefng y\u00eau c\u1ea7u nh\u01b0 v\u1edbi m\u00e3o r\u0103ng truy\u1ec1n th\u1ed1ng, v\u00e0 n\u1ebfu c\u1ea7n t\u00e1i l\u1eadp l\u1ea1i m\u1ed9t kh\u1edbp c\u1eafn ph\u1ee9c t\u1ea1p, ta c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh l\u00ean kh\u1edbp to\u00e0n b\u1ed9 v\u1edbi gi\u00e1 kh\u1edbp ph\u00f9 h\u1ee3p.<\/p>\n

      Tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng abutment t\u00f9y bi\u1ebfn, c\u1ea7n ph\u1ea3i l\u1ea5y d\u1ea5u \u0111\u1ea7u implant \u0111\u1ec3 abutment c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh tr\u00ean m\u1eabu h\u00e0m t\u1ea1i labo. S\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt l\u1ea5y d\u1ea5u \u201cpick-up\u201d c\u00f3 coping g\u1eafn v\u00e0o v\u1ecb tr\u00ed b\u1eb1ng ch\u1ed1t \u0111\u1ecbnh v\u1ecb. Ch\u1ed1t ph\u1ea3i \u0111\u01b0\u1ee3c th\u00e1o ra tr\u01b0\u1edbc khi g\u1ee1 d\u1ea5u ra kh\u1ecfi mi\u1ec7ng. Sau khi g\u1eafn abutment t\u00f9y bi\u1ebfn, c\u00f3 th\u1ec3 s\u1ebd \u0111\u00f2i h\u1ecfi ph\u1ea3i l\u1ea5y d\u1ea5u v\u1ecb tr\u00ed abutment v\u00e0 \u0111\u01b0\u1eddng vi\u1ec1n n\u01b0\u1edbu. N\u1ebfu \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t c\u1ee7a abutment \u0111\u01b0\u1ee3c \u0111\u1eb7t ngay d\u01b0\u1edbi n\u01b0\u1edbu, ta c\u00f3 th\u1ec3 l\u1ea5y d\u1ea5u v\u1edbi k\u1ef9 thu\u1eadt l\u1ea5y d\u1ea5u truy\u1ec1n th\u1ed1ng, b\u1eb1ng c\u00e1ch b\u01a1m ch\u1ea5t l\u1ea5y d\u1ea5u lo\u1ea1i nh\u1eb9 v\u00e0o khe n\u01b0\u1edbu. V\u1edbi \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t s\u00e2u h\u01a1n ho\u1eb7c tr\u01b0\u1eddng h\u1ee3p c\u00f3 ch\u1ea3y m\u00e1u n\u01b0\u1edbu, c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i d\u00f9ng ch\u1ec9 co n\u01b0\u1edbu.<\/p>\n

      \"\"
      \u0110\u1eb7t ch\u1ec9 co n\u01b0\u1edbu quanh abutment lo\u1ea1i c\u00f3 th\u1ec3 s\u1eeda so\u1ea1n gi\u00fap l\u1ea5y d\u1ea5u ch\u00ednh x\u00e1c \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t d\u01b0\u1edbi n\u01b0\u1edbu.<\/figcaption><\/figure>\n

      C\u1ea7n \u0111\u1eb7t ch\u1ec9 c\u1ea9n th\u1eadn v\u00ec ch\u1ec9 co n\u01b0\u1edbu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1eb7t s\u00e2u d\u01b0\u1edbi ph\u1ea7n l\u1ed3i t\u1ed1i \u0111a c\u1ee7a abutment, n\u1ebfu kh\u00f4ng s\u1ebd r\u1ea5t kh\u00f3 \u0111\u1ec3 th\u00e1o ra. Vi\u1ec7c ki\u1ec3m tra l\u1ea1i \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t c\u1ee7a abutment sau khi l\u1ea5y d\u1ea5u c\u0169ng r\u1ea5t quan tr\u1ecdng nh\u1eb1m \u0111\u1ea3m b\u1ea3o kh\u00f4ng c\u00f3 ph\u1ea7n d\u1ea5u n\u00e0o b\u1ecb \u0111\u1ee9t v\u00e0 n\u1eb1m l\u1ea1i d\u01b0\u1edbi ph\u1ea7n l\u1ed3i c\u1ee7a abutment. N\u1ebfu th\u1ea5y qu\u00e1 kh\u00f3 \u0111\u1ec3 l\u1ea5y d\u1ea5u, t\u1ed1t h\u01a1n ta n\u00ean g\u1eafn m\u1ed9t ph\u1ee5c h\u00ecnh t\u1ea1m kh\u00edt s\u00e1t t\u1ed1t, ch\u1edd m\u00f4 n\u01b0\u1edbu thay \u0111\u1ed5i r\u1ed3i sau \u0111\u00f3 l\u1ea5y d\u1ea5u l\u1ea1i. M\u1ed9t c\u00e1ch kh\u00e1c l\u00e0 th\u00e1o abutment r\u1ed3i t\u1ea1o m\u1eabu s\u00e1p tr\u1ef1c ti\u1ebfp tr\u00ean abutment, ho\u1eb7c l\u00e0m m\u1ed9t b\u1ea3n sao b\u1eb1ng nh\u1ef1a c\u1ee7a abutment sao cho b\u1ea3n sao n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1eef l\u1ea1i trong d\u1ea5u sau khi l\u1ea5y d\u1ea5u.<\/p>\n

      6. Quy tr\u00ecnh l\u00e0m ph\u1ee5c h\u00ecnh t\u1ea1m<\/h2>\n

      M\u00e3o r\u0103ng t\u1ea1m ng\u1eafn h\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m ngay tr\u00ean gh\u1ebf nha b\u1eb1ng c\u00e1ch d\u00f9ng coping nh\u1ef1a kh\u00edt s\u00e1t v\u1edbi abutment \u0111\u01a1n l\u1ebb ti\u00eau chu\u1ea9n. \u0110i\u1ec1u n\u00e0y s\u1ebd h\u01a1i m\u1ea5t th\u1eddi gian v\u00e0 th\u01b0\u1eddng th\u00ec t\u1ed1t nh\u1ea5t l\u00e0 n\u00ean th\u00e1o abutment v\u00e0 ph\u1ee5c h\u00ecnh t\u1ea1m. M\u00e3o t\u1ea1m \u0111\u01b0\u1ee3c l\u00e0m t\u1eeb m\u1eabu s\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1eb1ng c\u00e1ch d\u00f9ng khu\u00f4n \u0111\u00fac b\u1eb1ng cao su \u0111\u1eb7c ho\u1eb7c m\u00e1ng h\u00fat ch\u00e2n kh\u00f4ng, m\u00e3o \u0111\u01b0\u1ee3c l\u00e0m b\u1eb1ng nh\u1ef1a acrylic chuy\u00ean d\u00f9ng \u0111\u1ec3 l\u00e0m c\u1ea7u m\u00e3o t\u1ea1m. M\u00e3o t\u1ea1m c\u1ea7n ph\u1ee7 h\u1ebft \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t c\u1ee7a coping v\u00e0 v\u1eadt li\u1ec7u l\u00e0m m\u00e3o kh\u00f4ng \u0111\u01b0\u1ee3c tr\u00e0n xu\u1ed1ng d\u01b0\u1edbi n\u01b0\u1edbu. Ph\u1ee5c h\u00ecnh t\u1ea1m ph\u1ea3i \u0111\u01b0\u1ee3c t\u1ea1o h\u00ecnh c\u1ea9n th\u1eadn \u0111\u1ec3 \u0111\u1ea1t h\u00ecnh d\u1ea1ng m\u00f4 m\u1ec1m ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c, v\u00e0 \u0111i\u1ec1u n\u00e0y t\u1ed1t nh\u1ea5t n\u00ean \u0111\u01b0\u1ee3c ho\u00e0n t\u1ea5t ngo\u00e0i mi\u1ec7ng v\u1edbi composite quan tr\u00f9ng h\u1ee3p. C\u00f3 th\u1ec3 t\u1ed1t h\u01a1n l\u00e0 ta ch\u01b0a ch\u1ecdn abutment sau c\u00f9ng trong giai \u0111o\u1ea1n s\u1edbm n\u00e0y, m\u00e0 thay v\u00e0o \u0111\u00f3 l\u00e0m m\u1ed9t m\u00e3o r\u0103ng k\u1ebft h\u1ee3p v\u1edbi abutment \u0111\u1ec3 ph\u1ee5c h\u1ed3i t\u1ea1m th\u1eddi r\u1ed3i sau \u0111\u00f3 ch\u1ecdn abutment v\u0129nh vi\u1ec5n \u1edf giai \u0111o\u1ea1n sau \u0111\u00f3. H\u1ea7u h\u1ebft c\u00e1c h\u00e3ng s\u1ea3n xu\u1ea5t \u0111\u1ec1u cung c\u1ea5p abutment t\u1ea1m, v\u00e0 ph\u1ee5c h\u00ecnh t\u1ea1m n\u00ean l\u00e0 lo\u1ea1i b\u1eaft v\u00edt \u0111\u1ec3 d\u1ec5 th\u00e1o ra trong giai \u0111o\u1ea1n th\u1ef1c hi\u1ec7n ph\u1ee5c h\u00ecnh v\u0129nh vi\u1ec5n. N\u1ebfu l\u1ed7 b\u1eaft v\u00edt n\u1eb1m \u1edf v\u1ecb tr\u00ed kh\u00f4ng thu\u1eadn l\u1ee3i, ta c\u00f3 th\u1ec3 che b\u1eb1ng v\u1eadt li\u1ec7u tr\u00e1m composite.<\/p>\n

      M\u00e3o r\u0103ng t\u1ea1m d\u00e0i h\u1ea1n \u0111\u01b0\u1ee3c g\u1eafn tr\u00ean abutment t\u00f9y bi\u1ebfn ho\u1eb7c d\u00f9ng \u0111\u1ec3 t\u1ea1o h\u00ecnh m\u00f4 m\u1ec1m v\u00e0 t\u1ed1t nh\u1ea5t l\u00e0 \u0111\u01b0\u1ee3c l\u00e0m tr\u01b0\u1edbc t\u1ea1i labo. M\u00e3o c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u1eafn b\u1eb1ng c\u00e1c v\u1eadt li\u1ec7u g\u1eafn truy\u1ec1n th\u1ed1ng nh\u01b0 eugenat ho\u1eb7c Tempbond.<\/p>\n

      Ngu\u1ed3n: Implant trong th\u1ef1c h\u00e0nh Nha khoa – Richard D. Palmer\/Nh\u00f3m d\u1ecbch Saigon Young Dentists Vi\u1ec7t Nam<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

      B\u00e0i vi\u1ebft n\u00e0y kh\u00e1i qu\u00e1t t\u1ed5ng quan v\u1ec1 quy tr\u00ecnh l\u1ea5y d\u1ea5u tr\u01b0\u1edbc khi l\u1ef1a ch\u1ecdn Abutment, c\u00e1c \u0111i\u1ec3m c\u1ea7n l\u01b0u \u00fd khi ti\u1ebfn h\u00e0nh l\u1ef1a ch\u1ecdn lo\u1ea1i Abutment n\u00e0y, \u0111\u1ed3ng th\u1eddi kh\u00e1i qu\u00e1t nh\u1eefng b\u01b0\u1edbc ph\u1ea3i l\u00e0m trong quy tr\u00ecnh. C\u00f9ng t\u00ecm hi\u1ec3u k\u1ef9 h\u01a1n trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y. 1. Quy tr\u00ecnh l\u1ea5y […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"\nQuy tr\u00ecnh l\u1ea5y d\u1ea5u v\u00e0 ch\u1ecdn Abutment cho ph\u1ee5c h\u00ecnh Implant.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft kh\u00e1i qu\u00e1t quy tr\u00ecnh l\u1ea5y d\u1ea5u tr\u01b0\u1edbc khi l\u1ef1a ch\u1ecdn Abutment, c\u00e1c \u0111i\u1ec3m c\u1ea7n l\u01b0u \u00fd trong quy tr\u00ecnh n\u00e0y. 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